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HomeMy WebLinkAbout101 Country PlD t r JUN 01 2016 Documented Construction Value: $ fj/1015 •W CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /(o /S ( .l Job Address: L D I C,00 I 1N P 1 � ��J Historic District: Yes ❑ No ❑ Parcel ID: Residential IX Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Phone: L4 V) 301P 3 � "1 b Resident of property? 9 CS Name .Tu (l e 1 a<x (G�_ Street: :5— - OLD 01(pup— City, State Zip: I � Contractor Information n Name TnhQ �� �� 1CJl.-IJ AIN �11C Phone: . / 33,9- ,,dam ^^3 u6 !� Street: �3 o` Ct��a 46 _( Fax: ({� 33 Arr (.�U City, State Zip: Q D(') P� r_1 3. ' /V3 State License No.: Ch 0_c)5 a30 Architect/Engineer Information Name: iy �� Phone: Street: City, St, Zip: Bonding Company: IV tA- Address: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51D Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ]CC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 7 N, -A a e of Owner/Agent Date I; e �,e.SC i Q Plnt Owner/Agent's Name _ 15-jr).I '0 Date Notary Public - State of Florida Commission # FF 192773 My Comm. Expires Jan 26, 2019 Bonded through National Notary Assn. Owner/Agent is Personally 1C o n to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of M 'FL X) L- Produced ID ' k d5y ype of ID 777 d`rW BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application ��•"'" Si a re o ontractor/A gent bm 6 Date Tohn Kek/T. Print Contractor/Agent's Name ur"i Wignatumof-State of Florida Date ip Owner/Agent is Personally 1C o n to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of M 'FL X) L- Produced ID ' k d5y ype of ID 777 d`rW BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application Property Record Card Parcel: 33-19-30-506-0000-0010 P Owner: BEACH-MASCIA JULIE E at aoouwn $ammo► Property Address: 101 COUNTRY PL SANFORD, FL 32771 Parcel Information Value Summary Parcel 33-19-30-506-0000-0010 Owner BEACH-MASCIA JULIE E Property Address 101 COUNTRY PL SANFORD, FL 32771 Mailing 101 COUNTRY PL SANFORD, FL 32771-0502 Subdivision Name COUNTRY PLACE THE Tax Distnct S7-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(2000) Legal Description LOT 1 COUNTRY PLACE THE PB 26 PG 30 Tau Amount without SOH: $1,941.58 2015 Tax Bill Amount $1,292.43 Tax Estimator Save Our Homes Savings: $649.15 Does NOT INCLUDE Non Ad Valorem Assessments Taxes Working Certified 12016 Values 12015 Values Valuation Method Cosi/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $123,638 $118,738 Depreciated EXFT Value $1,000 $1,000 Land Value (Market) $34.000 $28,000 Land Value Ag $66.6 JustfMarketValue'• $158,638 $147,738 Portability Adj $50,000 Save Our Homes Adj $41,986 $31,897 Amendment 1 Adj $116,652 P&G Adj $0 $0 Assessed Value $116,652 $115,841 Tau Amount without SOH: $1,941.58 2015 Tax Bill Amount $1,292.43 Tax Estimator Save Our Homes Savings: $649.15 Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County Bonds $116.652 $50,000 $66.6 SJWM(Saint Johns Water Management) $116,652 $50,000 $66,6 County General Fund $116,652 $100,000 $16,6 City Sanford $116,652 $50,000 $66,6 Schools $116,652 $25,000 $9116 Sales Description Date Book Page Amount Qualified Vactimp WARRANTY DEED 5/1/199903660 9 $93,000 Yes Improved WARRANTY DEED 611/1995 02939 1405 $66,500 Yes Improved QUIT CLAIM DEED 4/1/1993 02893 0744 $101,000 No Improved WARRANTY DEED 3/1/1986 01723 1241 $100,000 No Improved Flnd Comparapl0 Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 1 $34,000.00 $34,0 Building Information d/Bath 1n 7 Click Here / f Proud Mcmkr Phone: 407-332-0345 A Fully Licensed State Certified Roofing Company . ` Fax: 407-332-0243 h ff2l johnke11er5@cfl.rrcom Lic.#CC-C058308 ggg, www.johnkellerroofing.com CLIENT (7I �� // �`/A / PH.�✓� / �/ DATE A" ADDRESS /v / / DAYTIME II FAX N \ 1 PROPERTYADDRESS REMOVE EXISTING ROOF/INSPECT FOR WOOD ROT ✓ INSTALL NEW ARCHITECTURAU34A"HW G&Xb8- ✓ INS ALL NEW UNDERLAYMENT ( Ib) ASPHALT COATED FELT/ �/V/ _ ( Ib) DOUBLE LAYER OF FELT FOR LOW SLOPE ��/f �% i '�• �'X S (43 Ib) OVER FELT NAIL BASE FOR MODIFIED BIT. S/A SYNTHETIC S/A FOR METALS ROOFS r/ INSTALL NEW PIPE FLASHINGS & EXHAUST VENTS _✓ PIPE FLASHINGS & EXHAUST VENTS TO BE PAINTED FLASHINGS AND VENTS SUPPLIED BY OTHERS / If ✓ INSTALL NEW ANGLE FLASHING WHERE EAVE MEETS ROOF DECK. (BEHIND FASCIA BOARD/ALUMINUM) / SHINGLE COLOR INSTALL NEW EAVE METAL: SIZE: COLOR:14AW _ INSTALL NEW _ INSTALL NEW METAL PANEL ROOF _ ICE & WATER SHIELD SHIELD—VALLEYS ARE CLOSED _ ULTRA RIB PANEL CUT _ V - CRIMP STANDING SEAM INSTALL DIVERTER/CRICKETT BEHIND CHIMNEY _ _ INSTALL NEW FLASHING/_ AND COUNTER FLASHING _ INSTALL GRANULATED MODIFIED SEAL W/ POLYURETHANE BITUMEN LOW SLOPE SYSTEM COLD PROCESS MOP DOWN _ INSTALL( ) NEW SKYLIGHT(S)SIZE: _ SBS SELF ADHERING GLASS TOP ONLY —PLASTIC DOME ONLY _ _ _ FLUSH MOUNTED PLASTIC DOME MODIFIED COLOR _ FACTORY SEALED CURB & PLASTIC DOME - V/ROTTEN WOOD REPLACED ATA SEPARATE FACTORY SEA LEDCURB&GLASS TOP(DOUBLEPANE) RATE OF $5.50 PER LINEAL FT. OF BOARD REUSE EXISTING SKYLIGHTS/NO WARRANTY /— AND/OR $60.00 PER SHEET OF PLYWOOD. V INSTALL NEW ATTIC VENTILATION SYSTEM A HIGHER RATE WILL APPLY FOR CEDAR _ INSTALL( )OFF -RIDGE ATTIC VENT(S) /��OARDS AND NON-STANDARD PLYWOOD. INSTALL( )TURBINE VENTS FOR LOW SLOPE ✓ PROPERTYO%VNER(S)ARERESPONSIBLEFOR VENTS INSTALL SHINGLE OVER ATTIC RIDGE ON ENTIRE RIDGE( ) FT./50YR-1IOMPH TESTED REMOVAL OF SOLAR PANELS, SATELLITE _ INSTALL METAL ATTIC RIDGE VENTS( ) FT. DISHES, AND GUTTERING. ALL REROOFS INCLUDE A TOTAL CLEAN UP A'ND MAGNETIC SWEEP ALL LABOR WARRANTED AGAINST LEAKS FOR A PERIOD OF: f fM WE PROPOSE TO FURNISH PERMITS, LABOR, AND MATERIALS IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE AMOUNT OF DOLLARS ($ 79 JU• !� ) _�INO DEPOSIT REQUIRED. PAYMENT IS DUE IN FULL UPON COMPLETION. 7 7.,)5` UJ (t /(a, %/`-4:5 \> I��G'!� _ 40% DEPOSIT FOR CUSTOM ORDER MATERIALS. BALANCE DUE IN FULL UPON COMPLETION. ACCESS TO AND FROM STRUCTURE IS REQUIRED FOR MATERIAL DELIVERY AND DISPOSAL CONTRACTOR AND CONTRACTORS AGENT ARE NOT RESPONSIBLE FOR DAMAGE TO DRIVEWAYS. SIDEWALKS. OR CEILINGS. ALL LEFTOVER MATERIALS ARE PROPERTY OF JOHN KELLER ROOFING INC. PROPERTY OWNER(S) TO CARRY FIRE, TORNADO. AND OTHER NECESSARY INSURANCE. SIGNED CONTRACTS NOT FULFILLED BY PROPERTY OWNER(S)ARE SUBJECT TOA FEE EQUAL TO IV% OF CONTRACT VALUE. ALL INVOICES SUBJECT TO EXPENSES INCURRED IN COLLECTION TO INCLUDE, BUT NOT LIMITED TO ATTORNEYS FEES. PAYMENTS NOT RENDERED IN ACCORDANCE WITH CONTRACT AGREEMENT ARE ACCEPTANCE OFPROP SAL—THEABOVEPRICE,SPECIFICATIONSANDCONDITIONSARESATISFACTORYANDAREHEREBYACCEPTED. YOU ARE AUTHORIZ TO MT5E WORK AND PAYMENT WILL BE MADE AS)OUTLIIJD ABOVE_ SIGNATUR A THIS INSTRUMENT PREPARED BY: Name: LISA KELLER Address: 2312 CLARK ST. B-13 APOPKA, FL. 32703 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: 33-19-30-506-0000-0010 1111111111111111111111111111111111111111 nARYANNE 110RSE, SE11INDLE COUNTY CLERK OF CIRCUIT COURT i'. COMPTROLLER BK 8698 f'9 461 (IF -9s) CLERK'S : 2016056390 RECORDEU U6/01/2016 10:49:28 AI'I REC:ORD114G FEES $10.oit RECONDLU BY tsmith The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) ; ���^• boy LOT 1 COUNTRY PLACE THE PB 26 PG 30 _""W�'�fE�'• �; 2. GENERAL DESCRIPTION OF IMPROVEMENT: ' . YANET GONZALEZ REROOF a co 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: O Name and address: JULIE MASCIA 101 COUNTRY PLACE SANFORD FL. 32771 z eV Interest in property: OWNER _0 "' a i"l Fee Simple Title Holder (if other than owner listed above) Name: N/A a R s Address: ----------- c t=LL Z 4. CONTRACTOR: Name: JOHN KELLER ROOFING, INC Phone Number: 407-332-0345 °� z •� Address: 2312 CLARK ST. B-13 APOPKA FL. 32703 i 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: N/A W o a Address: ------ Amount of Bond:-Vvr I 6. LENDER: Name: N/A Phone Number: -------- Address: --------- 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713A3(1)(a)7., Florida Statutes. Name. N/A Phone Number. ----------- Address: ---------- — 8. In addition, Owner designates -------- of ------ to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: ------- 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE C MENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. JULIE MASCINOWNER 11�vl ignature of Owner or Lhqe, or Owners or Lessee's (Print Name and Provide Signatory's Title/OMce) Authorized OKcer/Duedor/Panner/Manager) State of �lm�o�Q County of (�rn•�dc The foregoing instrument was acknowledged before me this ofy day of 201 by lie �Q,SCIWho is personally known to me D OR Name of person making statement who has produced Identification* type of identification produced: r * LDS- jAC0J^�,� LI -a 5 q 1 7 a -D' 0 ' . YANET GONZALEZ Notary Public . State of Florida Commission # FF 192773 .7�u4� My Comm. Expires Jan 26, 2019 Bonded through National Notary Assn. LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: t -I -1/0 1 hereby name and appoint: l 1 er an agent of. 'bl' I n Ke W V 0,Do/-/ (i (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): O The specific permit and application for work located at: I n I rnty)+i -) J D 1 S8 o f--na') .;a? Q/7 J (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: J.(-) Y) 4ej I Pf State License Number: Signature of License Holder: STATE OF FLORIPA, COUNTY OF The foregoing instrumen was c o dged before me this_Z, 565—y of 20id� by who is ify ally known to me or o w h s produced e�P as identification d who did (did not take an oath. gn re (Notary Seal) ,��'►` �S+t JINN AOCOMgNpp .= MY COMMISSION 1 FF 822881 v EXPIRES: October 18, 2018 Jf • r Bonded Thiu NDwy PupAe UiWmM4n (Rev. 08.12) Tp ttet✓ b ,&i J Print or type name Notary Public - State of er2� Commission No. My Commission Expires: CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: i 1 16& 1 I, ✓ p hf) r ic I I hereby acknowledge that I personally inspected D400f deck nailing and/or 9.9'econdary water barrier work at Pr)( )nfiYU P 1 l( e 0 56rfl) X71 and have determined that the work (Job Site Address) J was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. 1-t— - C, b 3 �( Signa4e o Contractor Date �o r) KdI CK, C(� Cb5�3d8 Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential X Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. s STATE OF FLORIDA COUNTY OF Sw G(or armed and subscribed before me this l day of 2016 , by �✓' who isq'Personally Known to me or has 0 Produced (type of ' e 'fication )4 fie- as identification. (SEAL) of Notary Public J zh-y Print/Type/Stamp Name of Notary Public ; JO MSSION ANoo RA. �. MY COMMISSION i FF AP2891 y EXPIRES: October 18 2019 1'41tb WI. Bonded ThN"PuM UndW A M